椅背复位法治疗肩关节前脱位临床研究  

Clinical study of treatment on anterior shoulder dislocation by chair method

作　　者：张梅刃[1] 蒋际钊[1] 黄辉春[1] 赵奎[1] 林苗正[1] 

机构地区：[1]广东省中医院珠海医院骨伤三科,广东珠海519015

出　　处：《中医药临床杂志》2016年第3期407-410,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:本文研究的目的是总结在门急诊室采用椅背复位法治疗肩关节前脱位的临床疗法。方法:对2012年7月—2014年10月间在我院门急诊就诊的27例采用椅背复位法和30例采用足蹬牵拉法治疗肩关节前脱位患者进行回顾性研究,并从在患者在止痛剂使用、一次性复位成功率、复位后VSA评分、是否出现复位并发症方面对2组复位方法临床效果进行评估。结果:椅背复位法组无一例使用止痛剂,足蹬牵拉组中5例患者使用止痛剂,2组有统计学差异(P=0.026<0.05);采用椅背复位组患者一次复位成功率为96.3%(26/27),足蹬牵拉组为93.3%(28/30),2组在统计学上无显著差异(P=0.830);复位后VSA评分中椅背复位组为(1.85±0.75)分,而足蹬牵拉复位组为(2.06±0.77)分,2组无统计学差异(P=0.303);足蹬牵拉组中一例出现复位并发症,而椅背复位组中未出现复位相关并发症。结论:椅背复位法治疗肩关节前脱位一次复位成功率高,复位并发症少,为治疗肩关节前脱位安全有效方法。Objective： The aim of this study was summed up clinical outcomes of patients with anterior shoulder dislocations reduced by chair method in the outpatient or emergency department.Methods： Retrospective study clini- cal data of twenty-seven patients with anterior shoulder dislocation treated using the chair method and the other thirty patients cured by Hippocratic method in the outpatient or emergency department of our hospital between July 2012 to October 2014, and evaluate the different of two method on numbers of patients using pain killer, the success rates of first effort, reduced complications, VSA after reduction. Results： None of patient used pain killer in the chair method group while five patients used in Hippocratic method group, The two group was statistically signifi- cant differences（P=0.026〈0.05）;and the success rates of first effort was 96.3%（26/27）by the chair method while 93.3%（28/30） by Hippocratic method, the two groups showed no significant difference（P=0.830）. The mean points of VSA after reduction was 1.85 ± 0.75 by the chair method while 2.06± 0.77 by Hippocratic method, The two group was not statistically significant differences（P=0.303）;None of reduced complications were found by the chair method while only one on Hippocratic method. Conclusion： Chair method was an effective and successful reduction method for ante- rior shoulder dislocation with high success rate of first effort and less reduced complications.

关 键 词：椅背复位法 肩关节前脱位 临床研究 

分 类 号：R274.2[医药卫生—中医骨伤科学]